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Am J Obstet Gynecol. 2011 Oct;205(4):298-301. doi: 10.1016/j.ajog.2011.02.022. Epub 2011 Mar 31.

Interdisciplinary team training identifies discrepancies in institutional policies and practices.

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Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA.


The objective of this study was to evaluate the impact of an interdisciplinary team-training program in obstetric emergencies on identifying unsupportive institutional policies and systems-based practices. We implemented a qualitative study design with a purposive sample of interdisciplinary physicians, nurses, and ancillary allied health professionals from 4 specialties (n = 79) to conduct a 6-month, weekly simulation-based intervention for managing obstetric emergencies. Debriefing focused on identifying discrepancies between clinical practice and institutional policies. Our data yielded 5 categories of discrepancies between institutional or departmental policy and actual clinical practice. Specific institutional policies and system-based practices were recommended to health system administration for reevaluation. Simulation-based interdisciplinary team training can inform system-wide quality improvement objectives that could lead to increased patient safety.

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